Individual
LISA K WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 PACIFIC AVE, TACOMA, WA 98402-3302
(253) 680-6016
Mailing address
1501 PACIFIC AVE, TACOMA, WA 98402-3302
(253) 680-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45580
CO
207Q00000X
Family Medicine Physician
Primary
MD60587860
WA
Other
Enumeration date
03/10/2006
Last updated
09/24/2015
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